Active NPI
Starr Family Practice, LLC
- Family Medicine Physician
- Caldwell, OH
National Provider Identifier
1629313291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- STARR FAMILY PRACTICE, LLC
- Practice address
- 18125 Woodsfield Rd
Caldwell, OH 43724 - Phone
- (740) 732-7259
- NPI assigned
- Dec 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony D Starr, DO
- Title
- Owner
- Phone
- (740) 732-7259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
18125 Woodsfield Rd
Caldwell, OH 43724
Mailing address
1251 Clark St
Cambridge, OH 43725-9612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090869 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411603200000",
"number": "1629313291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 CLARK ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437259612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18125 WOODSFIELD RD",
"city": "CALDWELL",
"state": "OH",
"postal_code": "43724",
"telephone_number": "740-732-7259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARR FAMILY PRACTICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-07",
"last_updated": "2014-09-25",
"status": "A",
"authorized_official_last_name": "STARR",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-732-7259",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0090869",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.